208514 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 364344 Page 1 of 1
ONE CIVIC SQUARE CORONADO HOMES CHECK AMOUNT: $204.00
CARMEL, INDIANA 46032 1011 S MAPLE
FORNILLE IN 46040 CHECK NUMBER: 208514
CHECK DATE: 4125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 204.00 OTHER EXPENSES
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCH
ADDRESS /r���— ��v' T1►
Invoice Date Invoice Number Item Amount
c; ,��3 a a'
�U
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and that the materials or services
itemized thereon for which charge is made were ordered and received except
a -L /ham L 1
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
19 JAId
O cer Title
Voucher No. 2%H 3y I Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. A NO.
NO.
CA INDIANA
COILDnI Afla CvS�a f,H�S
Total Amount of Voucher
Deductions
i
I
Amount of Warrant
Month of 19
Acct.
VOUCHER RECORD No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1 -800- 382 -8702 325